title: Successful percutaneous thrombectomy in an elderly patient with massive pulmonary embolism with cardiogenic shock.
abstract: We report on an 80-year-old woman with cardiogenic shock due to massive pulmonary embolism who was successfully treated with percutaneous thrombectomy using a conventional angiographic guide wire and catheters combined with systemic thrombolysis. We successfully treated the patient without a ventilator or extracorporeal life support. We report that percutaneous thrombectomy can provide rapid improvement of hemodynamic instability and can be used as an effective adjuvant therapy for systemic thrombolysis in patients with massive pulmonary embolism. Percutaneous thrombectomy is a less invasive and reasonable alternative to surgical embolectomy for patients with massive pulmonary embolism with cardiogenic shock.
authors.affiliation: Department of Cardiology, Ashikaga Red Cross Hospital, 284-1 Yobe-cho, Ashikaga, Tochigi, Japan, numasawa@cpnet.med.keio.ac.jp.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Numasawa
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Motoda
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yamazaki
authors.forename: Toshiki
authors.initials: T
authors.lastname: Kuno
authors.forename: Osamu
authors.initials: O
authors.lastname: Hashimoto
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Takahashi
mesh_terms: D000369:Aged, 80 and over; D000792:Angiography; D002406:Catheterization, Peripheral / Q000379:methods*; D004562:Electrocardiography; D005260:Female; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000209:etiology*; D017131:Thrombectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed